Is HMSA only in Hawaii?

Asked by: Prof. Trinity Huels  |  Last update: February 11, 2022
Score: 4.3/5 (3 votes)

Your HMSA PPO plan provides benefits for services on the Mainland. ... Determining PPO cost for care outside of Hawaii. 2. Finding a participating provider in the Mainland.

Can I use HMSA outside of Hawaii?

Note: The HMSA Children's Plan covers emergency care outside of Hawaii, but doesn't cover other services outside of Hawaii, including urgent and routine care. ... By coordinating your care with BlueCard, you receive benefits similar to those when receiving health care from Hawaii providers.

Does HMSA work in other states?

HMSA members, except those covered by the HMSA Children's plan, have benefits for medical services delivered outside the United States through the BlueCard Worldwide network. Note: The HMSA Children's Plan does cover emergency services, but urgent care isn't a covered benefit.

Is HMSA part of Blue Cross?

Hawaii Medical Service Association (HMSA) is a nonprofit health insurer in the state of Hawaii. HMSA was founded in 1938, is an independent licensee of the Blue Cross Blue Shield Association, and is the largest insurer in the state of Hawaii serving more than 700,000 people.

Is Blue Cross Blue Shield in Hawaii?

Blue Cross and Blue Shield of Hawaii is a licensee of the Blue Cross and Blue Shield Association, an association of independently, locally operated Blue Cross and Blue Shield companies.

HMSA

37 related questions found

What is HMSA PPO?

PPO (preferred provider organization)

PPO plans let you see any provider you prefer in HMSA's network of participating providers . ... PPO plans work best for people who value choice and are willing to pay higher monthly premiums for that freedom.

Where can I find my HMSA number?

Print a Copy of Your HMSA Membership Card through My Account

Register and/or log on to My Account . HMSA members age 18 and older must create their own My Account. Click Profile and then click View ID.

Can I use HMSA in mainland?

Your HMSA PPO plan provides benefits for services on the Mainland. ... BlueCard is a national program that enables most HMSA PPO members to obtain health care services while traveling or living in another Blue Cross or Blue Shield company's service area.

Is HMSA part of Anthem?

The Blue Cross and Blue Shield system

HMSA works with Anthem to administer certain aspects of your health plan. You and other members who received health care services in the past 10 years in any of the areas that Anthem's Blue Cross and Blue Shield companies serve are affected by the cyber attack.

Is Anthem Blue Cross in Hawaii?

Whether vacationing in Hawaii, temporarily living on the eastern seaboard or on business in Africa, you have coverage with Anthem Blue Cross.

What does HMSA cover?

Medical benefits

Few plans cover 100 percent of the cost of any medical service, and copayments and deductibles can add up. Some plans limit the number of visits or tests they'll pay for each year. Others may require that you pay all your costs on your own until you reach a limit when the plan kicks in.

Do I have HMSA?

Do you have your HMSA membership card handy? Find out what kind of medical plan you have by looking at your membership card. Your HMSA membership card identifies you as an HMSA member and lets providers determine your plan benefits. You may request duplicate HMSA membership cards through My Account on hmsa.com.

How do I get a HMSA card?

Just log onto My Account , hover over Profile, and click Request card. If you need your subscriber ID to register for My Account, please call HMSA Customer Relations for help. You may also request your duplicate card when you call. You'll receive a duplicate card in five to seven business days.

How do I check my HMSA coverage?

You can find out what plan you have simply by looking at your HMSA membership card. Consult your Guide to Benefits to find out what your plan covers.

Is HMSA a HMO or PPO?

Get care when you travel. Your plan gives you access to care on the Mainland and in many locations worldwide. Maintain a healthy smile. HMSA has comprehensive PPO and HMO dental plans that work with your medical plan to support your needs.

What is the difference between HMSA PPO and HMO?

PPO members have convenient access to health care through a large statewide network. Though PPO plans offer you greater choice of doctors than Health Maintenance Organization (HMO) plans, we encourage you to choose HMSA participating providers to help keep your out-of-pocket expenses down.

Do doctors prefer HMO or PPO?

PPOs Usually Win on Choice and Flexibility

If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.

What is HMSA member ID?

Your HMSA membership card identifies you as an HMSA member and enables providers to determine your plan benefits. ... If you lose your card, My Account on hmsa.com provides the most convenient way to request a new one. Just log in to My Account and select Request ID Card.

How do you qualify for the HMSA quest?

Hawaii QUEST Program (QUEST)
  1. Be a Hawaii resident.
  2. Be a U.S. citizen or legal immigrant.
  3. Provide proof of their citizenship status.
  4. Provide proof of their identity.
  5. Provide a Social Security Number.
  6. Not reside in a public institution.
  7. Be under age 65.
  8. Not blind or disabled.

What is the policy on insurance card?

Policy number

When you get a health insurance policy, that policy has a number. On your card, it is often marked “Policy ID” or “Policy #.” The insurance company uses this number to keep track of your medical bills.

How do I file a HMSA claim?

You can print the Prescription Reimbursement Claim Form from My Account on hmsa.com. You can also request copies by mail or in person. Use the Prescription Reimbursement Claim Form to request reimbursement for prescription drugs. Your dental claims information is accessible online through My Account on hmsa.com.

How do I get medical in Hawaii?

Applications for Health Care Coverage are accepted:
  1. On-line at www.mybenefits.hawaii.gov.
  2. Over the phone at 1-877-628-5076.
  3. By mail delivered to Med-QUEST Division Eligibility Offices.

How does HMSA deductible work?

The annual deductible is a fixed dollar amount you pay for covered services each calendar year or plan year before HMSA will pay for certain services. To determine if your deductible maximum is based on calendar or plan year, please review your Guide to Benefits .

How do I find out my deductible?

A deductible can be either a specific dollar amount or a percentage of the total amount of insurance on a policy. The amount is established by the terms of your coverage and can be found on the declarations (or front) page of standard homeowners and auto insurance policies.

Does HMSA PPO cover abortion?

Most HMSA plans cover induced abortions (CPT codes 59840 and 59841). When these procedures are performed in the physician's office, HMSA plans also provide additional payment to reimburse the physician for any overhead costs.